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SAN .�OAQUIN COU , <br /> i <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> �IFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: I -D y-,Q 5 Date: 19 _ <br /> Address: I $p - ` O r� ` C) City: c +0 GLton Zip Code: s �Q <br /> Owner/Operator: - � - Q U Telephone: 24- <br /> 1 4 141:k5 <br /> Program Element: 2 Program Record: ,n O� 2__64 <br /> 2� Inspection Type: L?-La' <br /> B180 Posted ❑Yes ❑ Permit Posted t' ❑Yes ❑ I Re-Inspection on or After: w e <br /> 10 <br /> k tBSERVATIONS AND CORRECTtYE'.ACTIONS . <br /> I C cs Y}d (20 ►)n ` LA' r-e rr-e -i <br /> W as W rL,t 4C 8xi VU ✓7 v t -H'v n <br /> i L lZa ° <br /> - c Y 0i ri-A Lo as-I-e kaa-a 00 CIA v-e_e u1jt <br /> o-S <br /> 1.V» ►'r'c C,8 <br /> 5 firi u ✓l-e, n m <br /> r!�V't <br /> i'e ✓ V/ R <br /> Item/Location Temperature Item l Location Temperature <br /> Facility Hot Water Temperatur2'F <br /> "" Warewashing <br /> Name: (Hand Sink. n /s ADO ppm Heat: of <br /> Exp. Date: arewashing Sink: uat.Amm.: Othenof <br /> Received By/Title: <br /> H Specialist: 1. . Phone: <br /> Time in: ' Y��J Time Out: G Page of <br /> � J <br /> EHD 16-24(2m pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />